Pub Date : 2024-01-01DOI: 10.22271/ortho.2024.v10.i1b.3500
Dr. Vignesh P, Dr. Vijayaraghavan R
This study investigates the effectiveness of Proximal Fibular Osteotomy (PFO) as an alternative surgical intervention for managing Medial Compartmental Osteoarthritis (OA) of the knee. Over a period from October 2022 to October 2023, a prospective case series was conducted at Sri Lakshmi Narayana Institute of Medical Sciences, enrolling three patients diagnosed with confirmed Medial Compartmental OA. The inclusion criteria comprised individuals with a Kellgren–Lawrence score of 2 or higher, exhibiting varus deformity, and consenting to PFO. Patients with post-traumatic knee OA, inflammatory joint disease, or prior knee surgeries were excluded. The patient cohort, ranging in age from 42 to 54 years (mean age: 48.4 years), predominantly demonstrated right knee affliction. Follow-up assessments occurred over an average duration of 10 months post-surgery. Notably, postoperative transient extensor hallucis longus (EHL) weakness emerged in all patients, resolving within 3 to 5 weeks without any reported complications during subsequent follow-up. Outcome measures encompassed pain relief evaluation through Visual Analog Scale (VAS), functional recovery assessments using Modified Oxford scores, and radiological analysis, focusing on tibiofemoral angle and joint space measurements. Results revealed substantial pain relief, enhanced joint function, and improved joint space post-PFO, suggesting promising outcomes in managing medial knee OA. In conclusion, PFO emerged as a feasible and minimally invasive approach offering significant symptomatic relief and functional improvement in patients with medial compartmental OA. This procedure could potentially delay or obviate the necessity for more invasive surgical options like total knee arthroplasty. Careful consideration and avoidance of common peroneal nerve injury during PFO are pivotal.
本研究探讨了腓骨近端截骨术（PFO）作为治疗膝关节内侧室骨关节炎（OA）的替代手术干预的有效性。2022 年 10 月至 2023 年 10 月期间，斯里拉克希米-纳拉亚纳医学科学研究所开展了一项前瞻性病例系列研究，招募了三名确诊为内侧室 OA 的患者。纳入标准包括 Kellgren-Lawrence 评分为 2 分或以上、表现出屈曲畸形并同意接受 PFO 治疗的患者。患有创伤后膝关节 OA、炎症性关节疾病或曾接受过膝关节手术的患者除外。患者年龄从42岁到54岁不等（平均年龄：48.4岁），主要表现为右膝疼痛。随访评估平均持续时间为术后 10 个月。值得注意的是，所有患者在术后都出现了短暂的伸拇肌（EHL）无力，但在3至5周内缓解，后续随访中未报告任何并发症。结果测量包括通过视觉模拟量表（VAS）评估疼痛缓解情况、通过改良牛津评分评估功能恢复情况，以及放射学分析，重点是胫股关节角度和关节间隙测量。结果显示，PFO 术后疼痛明显缓解、关节功能增强、关节间隙改善，这表明在治疗膝关节内侧 OA 方面具有良好的效果。总之，PFO 是一种可行的微创方法，能显著缓解内侧厢 OA 患者的症状并改善其功能。该手术有可能推迟或避免全膝关节置换术等侵入性更大的手术选择。在 PFO 过程中，仔细考虑和避免腓总神经损伤至关重要。
{"title":"A case series of functional outcome of proximal fibular osteotomy in medial compartmental osteoarthritis of knee","authors":"Dr. Vignesh P, Dr. Vijayaraghavan R","doi":"10.22271/ortho.2024.v10.i1b.3500","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1b.3500","url":null,"abstract":"This study investigates the effectiveness of Proximal Fibular Osteotomy (PFO) as an alternative surgical intervention for managing Medial Compartmental Osteoarthritis (OA) of the knee. Over a period from October 2022 to October 2023, a prospective case series was conducted at Sri Lakshmi Narayana Institute of Medical Sciences, enrolling three patients diagnosed with confirmed Medial Compartmental OA. The inclusion criteria comprised individuals with a Kellgren–Lawrence score of 2 or higher, exhibiting varus deformity, and consenting to PFO. Patients with post-traumatic knee OA, inflammatory joint disease, or prior knee surgeries were excluded. The patient cohort, ranging in age from 42 to 54 years (mean age: 48.4 years), predominantly demonstrated right knee affliction. Follow-up assessments occurred over an average duration of 10 months post-surgery. Notably, postoperative transient extensor hallucis longus (EHL) weakness emerged in all patients, resolving within 3 to 5 weeks without any reported complications during subsequent follow-up. Outcome measures encompassed pain relief evaluation through Visual Analog Scale (VAS), functional recovery assessments using Modified Oxford scores, and radiological analysis, focusing on tibiofemoral angle and joint space measurements. Results revealed substantial pain relief, enhanced joint function, and improved joint space post-PFO, suggesting promising outcomes in managing medial knee OA. In conclusion, PFO emerged as a feasible and minimally invasive approach offering significant symptomatic relief and functional improvement in patients with medial compartmental OA. This procedure could potentially delay or obviate the necessity for more invasive surgical options like total knee arthroplasty. Careful consideration and avoidance of common peroneal nerve injury during PFO are pivotal.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"113 3-4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140517402","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.22271/ortho.2024.v10.i1b.3501
Dr. Sharafuddeen Mammu, Dr. V Ravikumar, D. Vh, Dr. IM Maqbal Muhasin Nazar, Dr. Ashwin Rajamohanan
Melioidosis affecting the knee joint is a rare manifestation of Burkholderia Pseudomallei but well recognized, the disease is more common in tropical areas of Australia and Thailand and less reported in South Asian countries. Early diagnosis and treatment is essential in preventing the dissemination that carries a high mortality rate. Case report: We present the case of a 44 year old male with isolated septic arthritis of right knee. Post arthrotomy pus culture revealed the organism to be Burkholderia Pseudomallei . He was started on iv antibiotics. Patient fully recovered after a course of 6 weeks. Conclusion: Melioidosis is a rare case of septic arthritis knee, clinicians should deal with high index of suspicion, but to be kept in mind and is curable on intravenous antibiotics. Delaying diagnosis leads to dissemination with fatality.
{"title":"Isolated septic arthritis of knee by Burkholderia Pseudomallei: A case report","authors":"Dr. Sharafuddeen Mammu, Dr. V Ravikumar, D. Vh, Dr. IM Maqbal Muhasin Nazar, Dr. Ashwin Rajamohanan","doi":"10.22271/ortho.2024.v10.i1b.3501","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1b.3501","url":null,"abstract":"Melioidosis affecting the knee joint is a rare manifestation of Burkholderia Pseudomallei but well recognized, the disease is more common in tropical areas of Australia and Thailand and less reported in South Asian countries. Early diagnosis and treatment is essential in preventing the dissemination that carries a high mortality rate. Case report: We present the case of a 44 year old male with isolated septic arthritis of right knee. Post arthrotomy pus culture revealed the organism to be Burkholderia Pseudomallei . He was started on iv antibiotics. Patient fully recovered after a course of 6 weeks. Conclusion: Melioidosis is a rare case of septic arthritis knee, clinicians should deal with high index of suspicion, but to be kept in mind and is curable on intravenous antibiotics. Delaying diagnosis leads to dissemination with fatality.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"12 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140525018","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.22271/ortho.2024.v10.i1a.3494
Dr. Ronak Daglia, Dr. Abhinav Vatsa, Dr. Charchit Baurasi, Dr. Maheshkumar Prajapati, Dr. Mohammed Sohail Siddiqui, Dr. Ravi Patel
{"title":"Functional outcome of transforaminal steroid injection in patients suffering from prolapsed intervertebral disc","authors":"Dr. Ronak Daglia, Dr. Abhinav Vatsa, Dr. Charchit Baurasi, Dr. Maheshkumar Prajapati, Dr. Mohammed Sohail Siddiqui, Dr. Ravi Patel","doi":"10.22271/ortho.2024.v10.i1a.3494","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1a.3494","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"55 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140517476","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.22271/ortho.2024.v10.i1a.3491
Mba Mba Cyprien, Tshimanga Pascal, Mikiela Anicet, Okome Obiang Inès Marie, Nguema Enzengue Frank, Nthep Jean Paul, Mezene Mendome Christelle, Mengue Mba Meyo Scarlette, Ondo N’dong François
{"title":"Epidemiological, clinical and injury aspects of fractures in the elderly in Libreville, Gabon","authors":"Mba Mba Cyprien, Tshimanga Pascal, Mikiela Anicet, Okome Obiang Inès Marie, Nguema Enzengue Frank, Nthep Jean Paul, Mezene Mendome Christelle, Mengue Mba Meyo Scarlette, Ondo N’dong François","doi":"10.22271/ortho.2024.v10.i1a.3491","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1a.3491","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"33 10","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140522814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-01-01DOI: 10.22271/ortho.2024.v10.i1a.3492
Dr. Raveendra Babu Rayalapeta Veerappa, Dr. Chandra Theja Vanukuri, Dr. Tejeswar Reddy Konda Reddy
{"title":"Analysis of etiological factors and preventive measures of second hip fractures in Chittoor district Andhra Pradesh: Retrospective study","authors":"Dr. Raveendra Babu Rayalapeta Veerappa, Dr. Chandra Theja Vanukuri, Dr. Tejeswar Reddy Konda Reddy","doi":"10.22271/ortho.2024.v10.i1a.3492","DOIUrl":"https://doi.org/10.22271/ortho.2024.v10.i1a.3492","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"25 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140522305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.22271/ortho.2023.v9.i3a.3398
Mohamed Rohayem, H. Mashal, A. Casiraghi, Muhammad Abdel-Monem Quolquela, K. Hafez, N. Gharbo
Objectives: The purpose of this work was to assess the clinical and imaging outcomes of the modified Stoppa technique for surgical management of acetabular fractures. Methods: Between September 2019 and November 2021, twenty-one individuals (mean age 39.09 years; range 18–64) who received surgical therapy for acetabular fractures with modified Stoppa participated in the research. The average follow-up period was 12.95 months, with a range of 6 to 24. The data were
{"title":"Modified Stoppa approach for treatment of acetabular fractures","authors":"Mohamed Rohayem, H. Mashal, A. Casiraghi, Muhammad Abdel-Monem Quolquela, K. Hafez, N. Gharbo","doi":"10.22271/ortho.2023.v9.i3a.3398","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3a.3398","url":null,"abstract":"Objectives: The purpose of this work was to assess the clinical and imaging outcomes of the modified Stoppa technique for surgical management of acetabular fractures. Methods: Between September 2019 and November 2021, twenty-one individuals (mean age 39.09 years; range 18–64) who received surgical therapy for acetabular fractures with modified Stoppa participated in the research. The average follow-up period was 12.95 months, with a range of 6 to 24. The data were","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89783422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.22271/ortho.2023.v9.i3a.3405
Mahmoud Hassan Sabry, M. Ramadan, Mohamed Mostafa Hosney, Ahmed Mohsen El-Oulemey
{"title":"Functional outcome of carrying angle changes following supracondylar humeral fractures in children","authors":"Mahmoud Hassan Sabry, M. Ramadan, Mohamed Mostafa Hosney, Ahmed Mohsen El-Oulemey","doi":"10.22271/ortho.2023.v9.i3a.3405","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3a.3405","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"19 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91404215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.22271/ortho.2023.v9.i3a.3406
Mahmoud Soliman Leila, A. Megahed, Markus Walther, M. Ayoub, K. Hafez
{"title":"Chronic lateral ankle instability","authors":"Mahmoud Soliman Leila, A. Megahed, Markus Walther, M. Ayoub, K. Hafez","doi":"10.22271/ortho.2023.v9.i3a.3406","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3a.3406","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89449539","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-05-01DOI: 10.22271/ortho.2023.v9.i2b.3360
Dr. R Sakthivel, D. F. A. Khader
Background: Vertebral compression fracture occurs when vertebral body collapses and it leads to severe pain, loss of vertebral height and deformity. Most commonly occurs in thoraco-lumbar region. Most common fracture in patients with osteoporosis. Materials and Methods: A total of 20 patients with osteoporotic vertebral compression fracture was treated in this study from November 2021 to October 2022. Results: After 1 Year of Follow up, result Was Excellent in 15 Patients, Good in 3 Patients, Fair in 1 Patient and cement leakage in 1 patient. Conclusion: We conclude that vertebroplasty is safe and minimally invasive procedure for osteoporotic vertebral compression fractures. Proper selection of patient, evaluation, and technique are important to obtain good outcomes and minimize the complications.
{"title":"Outcome of vertebroplasty in osteoporotic vertebral compression fracture","authors":"Dr. R Sakthivel, D. F. A. Khader","doi":"10.22271/ortho.2023.v9.i2b.3360","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2b.3360","url":null,"abstract":"Background: Vertebral compression fracture occurs when vertebral body collapses and it leads to severe pain, loss of vertebral height and deformity. Most commonly occurs in thoraco-lumbar region. Most common fracture in patients with osteoporosis. Materials and Methods: A total of 20 patients with osteoporotic vertebral compression fracture was treated in this study from November 2021 to October 2022. Results: After 1 Year of Follow up, result Was Excellent in 15 Patients, Good in 3 Patients, Fair in 1 Patient and cement leakage in 1 patient. Conclusion: We conclude that vertebroplasty is safe and minimally invasive procedure for osteoporotic vertebral compression fractures. Proper selection of patient, evaluation, and technique are important to obtain good outcomes and minimize the complications.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"106 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76073384","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：